Valvuloplasty mitral at SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
$5,115.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$9,300.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,699.99 with BCBS vs $19,324.00 with UnitedHealthCare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $1,699.99 | ↓ -67% |
| BCBS | Anthem Blue Preferred HMO/POS | $1,736.28 | ↓ -66% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $1,736.28 | ↓ -66% |
| BCBS | Anthem Blue Access PPO | $1,871.53 | ↓ -63% |
| Aetna | Carelink All Commercial Plans | $3,656.00 | ↓ -29% |
| Aetna | All Commercial Plans | $5,646.00 | ↑ +10% |
| BCBS | Anthem Medicare Managed Care Plan | $11,331.57 | ↑ +122% |
| Aetna | Medicare Managed Care Plan | $11,562.83 | ↑ +126% |
| Centene | Wellcare Medicare Managed Care - PPO | $11,678.46 | ↑ +128% |
| Humana | Medicare Managed Care Plan | $11,759.40 | ↑ +130% |
| Aetna | Advantra Medicare Managed Care Plan | $11,794.08 | ↑ +131% |
| Essence | Medicare Managed Care Plan | $11,909.71 | ↑ +133% |
| Oscar | Exchange | $13,875.39 | ↑ +171% |
| UnitedHealthCare | Employee | $14,257.00 | ↑ +179% |
| Centene | Ambetter Exchange | $16,449.00 | ↑ +222% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $17,080.00 | ↑ +234% |
| UnitedHealthCare | Options PPO | $19,324.00 | ↑ +278% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $11,674.40 | $1,446.22 – $13,266.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $6,930.00 | $1,480.52 – $18,730.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $6,930.00 | $1,480.52 – $18,730.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $6,930.00 | $1,480.52 – $18,730.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $6,930.00 | $1,480.52 – $18,730.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $6,930.00 | $1,480.52 – $18,730.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $24,540.75 | $853.27 – $21,876.07 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $6,930.00 | $1,480.52 – $18,730.00 |